About the Department
The aim of teaching the undergraduate student in Tuberculosis and Chest Diseases is to impart such knowledge and skills that may enable him/her to diagnose and manage common ailments affecting the chest with the special emphasis on management and prevention of Tuberculosis and especially National Tuberculosis control programme.
The goal of Post graduation (MD) course in Respiratory Medicine is to produce acompetent chest physician who
- Recognizes the health needs of patients having chest complaints and carries out professional obligations in keeping with principles of National Health Policy and professional ethics.
- Has acquired the competencies pertaining to chest medicine that are required to be practiced in the community and at all levels of health care system.
- Has acquired skills in effectively communicating with the patient, family and the community.
- Is aware of the contemporary advances and developments in medical sciences as related to pulmonary Medicine
- Is oriented to principles of research methodology.
- Has acquired skills in educating medical and paramedical professionals.
At the end of the course of Tuberculosis and Chest diseases, the student shall be able to
- Demonstrate sound knowledge of common chest diseases, their clinical manifestations, including emergent situations and of investigative procedures to confirm their diagnosis.
- Demonstrate comprehensive knowledge of various modes of therapy used in treatment of respiratory diseases;
- Describe the mode of action of commonly used drugs, their doses, side effects / toxicity, indications and contra-indications and interactions
- Describe commonly used modes of management including medical and surgical procedures available for treatment of various diseases and to offer a comprehensive plan of management inclusive of National Tuberculosis Control Programme.
At the end of the MD course in Respiratory Medicine, the student should be able to
- Recognize the key importance of pulmonary medicine in the context of the health priority of the country.
- Practice the specialty of Pulmonary Medicine in keeping with the principles of professional ethics.
- Identify social, economic, environmental, biological and emotional determinants of patient and institute diagnostic, therapeutic, rehabilitative, preventive and promotive measures to provide holistic care to him.
- Take detailed history, perform full physical examination and make clinical diagnosis.
- Perform relevant investigative and therapeutic procedures for the patient.
- Interpret important imaging and laboratory results.
- Diagnose illness based on the analysis of history, physical examination and investigative work up.
- Plan and deliver comprehensive treatment for illness using principles of rational drug therapy.
- Plan rehabilitation of patients suffering from chronic illness.
- Manage respiratory emergencies efficiently.
- Demonstrate skills in documentation of case details, and of morbidity and mortality data relevant to the assigned situation.
- Demonstrate empathy and humane approach towards patients and their families and respect their sensibilities.
- Demonstrate communication skills of a high order in explaining management and prognosis, providing counseling and giving health education messages to patients, families and communities.
- Develop skills as a self-directed learner, recognize continuing educational needs; use appropriate learning resources, and critically analyze relevant published literature in order to practice evidence-based Chest Medicine.
- Demonstrate competency - research methodology and epidemiology.
The student shall be able to
- Interview the patient, elicit relevant and correct information and describe the history in chronological order.
- Conduct clinical examination, elicit and interpret clinical findings and diagnose common respiratory disorders and emergencies.
- Perform simple, routine investigation and office procedures required for making the bed side diagnosis, especially sputum collection and examination for etiologic organisms especially Acid Fast Bacilli (AFB), interpretation of the chest x-rays and respiratory function tests.
- Interpret and manage various blood gases and PH abnormalities in various respiratory diseases.
- Manage common diseases recognizing need for referral for specialized care, in case of inappropriateness of therapeutic response.
- Assist in the performance of common procedures, like laryngoscopic examination, pleural aspiration, respiratory physiotherapy, laryngealintubation and pneumo-thoracic drainage / aspiration.
The practical and clinical training involves acquiring the clinical and practical skill and competency in medical emergency management. At the end of the PG course student should able to acquire following skills.
- Interpretation of the laboratory data including sputum examination macroscopic and microscopic Gram's stain, AFB, cytology including malignant cells.
- Interpretation of the pulmonary Function studies, ECG, ECHO, skin tests, blood gas analysis and other investigations.
- Interpretation of chest X-ray, CT scan MRI and ultrasonography.
- Observation of Bronchoendoscopic procedures.
- Oxygen therapy.
- Nebulization therapy
A) Skills to perform diagnostic test
- Sputum and other body fluid examination with Gram's stain, ZN stain, and malignant cells.
- FNAC of lymph nodes , lung and mediastinal masses.
- Evaluation of diagnostic tests.
- Pulmonary function tests
- Skin tests, Mantoux test, allergen tests
- BCG vaccination
- Sleep laboratory studies
- Blood gas analysis
B) Therapeutic Procedures
- Aspiration of pleural, peritoneal and pericardial fluid.
- Tube thoracostomy including management of pneumothorax.
- Postural drainage.
- Respiratory muscle exercise.
- Pleural biopsy.
- Bronchoscopy-aspiration and lavage and biopsy.
Medical Emergency Management
- Management of acute asthma, Pneumothorax, hemothorax, acute exacerbation of COPD, hemoptysis.
- Cardiopulmonary resuscitation
- Endotracheal intubations
- Management of acute respiratory failure and ARDS
- Pulmonary thromboembolim.
The broad goal of effective teaching can be obtained through integration with departments of Medicine, Surgery, Microbiology, Pathology, Pharmacology, Preventive and Social Medicine
The broad goal of effective teaching can be obtained through integration with departments of Medicine, Microbiology and Pathology.